A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Type of Study
2.2. Patients
2.3. Pulpotomy and Restoration Procedures
2.4. Follow up Evaluations
2.5. Study Criteria
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Inclusion criteria | - Related to the patient
|
- Related to the tooth
| |
- Related to the pulpal status
| |
Exclusion criteria | - Related to the patient
|
- Related to the tooth
| |
- Related to the pulpal status
| |
- Extemporaneous exclusion criteria
|
Outcome of Pulpotomy | Clinical Criteria | Radiographic Criteria | |
---|---|---|---|
Functional Tooth | Noninfected Tooth | ||
Success, effective pulpotomy | Lack of pain declaration and Presence of the tooth and Sealing properties of the restoration | Absence of spontaneous pain and Absence of pain on chewing and Lack of swelling and Lack of swelling and sinus tract and Negative response to axial percussion test and Negative response to apical palpation test and Periodontal probing <2mm | PAI at T0 = 1 and PAI at Tx = 1, PAI at T0 = 2 and PAI at Tx ≤ 2, or PAI at T0 3 and PAI at Tx ≤ 2 and lack of radicular lacunae |
Uncertain outcome | Lack of pain declaration and Presence of the tooth and Sealing properties of the restoration | Absence of spontaneous pain and Absence of pain on chewing and Lack of swelling and Lack of swelling and sinus tract and Negative response to axial percussion test and Negative response to apical palpation test and Periodontal probing <2mm | PAI at T0 = 1 and PAI at Tx = 2, PAI = 3 at both T0 and Tx, and lack of radicular lacunae |
Failure, ineffective pulpotomy | Lack of pain declaration and/or Presence of the tooth and/or Sealing properties of the restoration | Absence of spontaneous pain and/or Absence of pain on chewing and/or Lack of swelling and Lack of swelling and sinus tract and/or Negative response to axial percussion test and/or Negative response to apical palpation test and/or Periodontal probing <2mm | PAI at T0 = 1 or 2 and PAI at Tx 3, PAI at T0 3 and PAI at Tx > 3 and/or presence of radicular lacunae |
Descriptive Criteria | Initial Evaluation (T0) | 12 Month Follow-Up (T3) |
---|---|---|
Diagnosis | ||
Reversible pulpitis | 23 | 5 |
Irreversible pulpitis | 2 | 1 |
Chronic pulpitis | 5 | 2 |
Total | 30 | 8 |
Bjørndal classification | ||
Deep carious lesion | 14 | 4 |
Extremely deep carious lesion | 14 | 4 |
No carious lesion | 2 | |
Total | 30 | 8 |
Endocrown material | ||
IPS e.max® CAD | 15 | 2 |
Enamic® | 15 | 6 |
Total | 30 | 8 |
Outcome | Follow-up Time | Clinical Criteria | Radiographic Criteria | Total | |
---|---|---|---|---|---|
Functional Tooth | Non-Infected Tooth | ||||
Effective outcome | T1 | 28 (100%) | 24 (86%) | 27 (96%) | 23 |
T2 | 16 (100%) | 16 (100%) | 15 (94%) | 15 | |
T3 | 8 (100%) | 8 (100%) | 8 (100%) | 8 | |
Uncertain | T1 | 0 | 4 (14%) * | 1 (4%) | 5 |
T2 | 0 | 0 | 1 (6%) | 1 | |
T3 | 0 | 0 | 0 | 0 | |
Ineffective outcome | T1 | 0 | 0 | 0 | 0 |
T2 | 0 | 0 | 0 | 0 | |
T3 | 0 | 0 | 0 | 0 |
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Munoz-Sanchez, M.-L.; Linas, N.; Decerle, N.; Nicolas, E.; Hennequin, M.; Cousson, P.-Y. A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study. Int. J. Environ. Res. Public Health 2020, 17, 6340. https://doi.org/10.3390/ijerph17176340
Munoz-Sanchez M-L, Linas N, Decerle N, Nicolas E, Hennequin M, Cousson P-Y. A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study. International Journal of Environmental Research and Public Health. 2020; 17(17):6340. https://doi.org/10.3390/ijerph17176340
Chicago/Turabian StyleMunoz-Sanchez, Marie-Laure, Natacha Linas, Nicolas Decerle, Emmanuel Nicolas, Martine Hennequin, and Pierre-Yves Cousson. 2020. "A Combination of Full Pulpotomy and Chairside CAD/CAM Endocrown to Treat Teeth with Deep Carious Lesions and Pulpitis in a Single Session: A Preliminary Study" International Journal of Environmental Research and Public Health 17, no. 17: 6340. https://doi.org/10.3390/ijerph17176340